Declaration Form for State Marching Championship. This form is not valid until your fee has been received.The Registration Fee is $250. The Registration Fee should be sent with a print out of this form. Bands not selected for the Championship will receive a refund for the Registration Fee. The Declaration Form and Registration Fee must be received by September 15.

Email is a primary communication tool and this address must accept attachments.

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Alternate Email Address:

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Fax Number:

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School Classification: *

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1A

2A

3A

4A

5A

6A

Other

School Enrollment: *

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Total Band Students, Including Auxiliaries *

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Program/Show Title and Selections: *

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Drum Major(s): *

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Number of Buses You will Bring: *

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Type of Buses: *

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School Bus

Charter Bus

Number of Equipment Vehicles You Will Bring: *

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Type of Equipment Vehicles You Will Bring: *

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Box Truck

Semi Trailer

Other

Is your band interested in placing a group meal order with the host site?

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NO

YES

Declaration Statement:

Our band will participate in the MHSAA/MBA State Marching Band Championship if selected from the Regional Marching Festivals. I understand that if our band drops out of the Championship after October 1st, a $250 fine will be imposed and our band will not be allowed to participate in the Championship the following year.

By checking below I acknowledge that I have read and agree to the above statement. *

I have read and agree to the above declaration statement.

Required

Registration Fee: $250

The Registration Fee should be sent with a print out of this form. Bands not selected for the Championship will receive a refund for the Registration Fee. The Declaration Form and Registration Fee must be received by September 15. Make Checks payable to: Mississippi Bandmasters Association.